思维导图在妇科肿瘤术后深静脉血栓防治中的运用(1)
摘 要：目的 探討运用思维导图在妇科恶性肿瘤术后下肢深静脉血栓防治中的作用。方法 选取2016年1月～2017年7月江南大学附属医院妇科恶性肿瘤手术100患者作为研究对象，采用随机数字表法分为干预组和对照组，每组50例，对照组采用常规护理；干预组根据护理思维导图进行护理。观察记录两组患者LEDVT的发生率。结果 干预组DVT发生率为0低于对照组的8.00%，差异有统计学意义(P<0.05)， 干预组满意率为90.00%，高于常规组的70.00%。差异有统计学意义(P<0.05) 。干预组术后住院时间短于常规组，差异有统计学意义(P<0.05)。结论 采用思维导图对妇科恶性肿瘤术后患者进行护理干预，能有效降低DVT的发生率，并减轻DVT的发生程度。
关键词：思维导图；下肢深静脉血栓；妇科恶性肿瘤手术
中图分类号：R473.73 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.20.053
, 百拇医药
文章编号：1006-1959(2018)20-0168-03
Abstract：Objective To explore the role of mind mapping in the prevention and treatment of lower extremity deep venous thrombosis after gynecologic malignant tumor surgery.Methods From January 2016 to July 2017，100 patients with gynecologic malignancies in the Affiliated Hospital of Jiangnan University were selected as the study subjects.The randomized digital table method was divided into intervention group and control group，50 cases in each group.The control group received routine nursing.The intervention group was treated according to the nursing mind map.The incidence of LEDVT in both groups was observed and recorded.Results The incidence of DVT in the intervention group(0)was lower than that in the control group(8.00%)，the difference was statistically significant(P<0.05)，and the satisfaction rate of the intervention group(90.00%)was higher than that in the conventional group(70.00%)， the difference was statistically significant(P<0.05).The postoperative hospital stay was shorter in the intervention group than in the conventional group，the difference was statistically significant(P<0.05).Conclusion The use of mind mapping for nursing intervention in patients with gynecologic malignant tumors can effectively reduce the incidence of DVT and reduce the incidence of DVT.
, 百拇医药
Key words：Mind mapping；Deep vein thrombosis of lower extremities；Surgery for gynecologic malignancies
静脉血栓栓塞(venous thromboembolism，VTE)包括深静脉血栓(deep vein thrombosis，DVT) 及肺栓塞(pulmonary embolism，PE) 。DVT形成常发生于下肢深静脉血栓(LEDVT)，是妇科恶性肿瘤治疗过程中常见的并发症之一，严重影响患者的预后。DVT 血栓脱落引起肺栓塞后危及患者的生命。恶性肿瘤是静脉血栓形成的独立危险因素[1]，栓子脱落时可引起肺栓塞(pulmonary embolism，PE)，而DVT并发PE后，死亡率可达20%～30%，是仅次于肿瘤引起患者死亡的第2位原因[2]。思维导图又称为心智图，是一种将发散性思考具体化的思维工具，它运用线条、符号、词汇和图像，形成发散式和节点式的结构形式，把繁琐的文字信息变成层次分明的图，让学习者更有效地储存和提取信息，提高工作和学习效率[3]。为了减少妇科恶性肿瘤术后LEDVT的发生，我科将思维导图运用于妇科恶性肿瘤术后LEDVT防治的护理中，现分析如下。
, 百拇医药
1资料与方法
1.1一般资料 选取2016年1月～2017年7月就诊于无锡市第四人民医院妇科住院的恶性肿瘤患者100例为研究对象，经本院伦理委员会审批通过。纳入标准：①确诊为妇科恶性肿瘤；②准备行手术治疗的患者；③本次研究经过患者及家属知情同意；排除标准：①排除术前已经存在LEDVT的患者；②伴随其他严重并发症。采用随机数字分类法将患者分为干预组和对照组，每组50例。对照组年龄27～73岁，平均年龄(53.78±9.95)岁；手术方式：47例经腹手术，2例腹腔镜手术，1例外阴手术；麻醉方式：49例全身麻醉，1例联合麻醉。干预组年龄34～84 岁，平均年龄(53.64±10.84)岁；手术方式：42例经腹手术，7例腹腔镜手术，1例外阴手术；麻醉方式：49例全身麻醉，1例联合麻醉。两组患者一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(陆筠 张吴花 胡雯晴)
关键词：思维导图；下肢深静脉血栓；妇科恶性肿瘤手术
中图分类号：R473.73 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.20.053
, 百拇医药
文章编号：1006-1959(2018)20-0168-03
Abstract：Objective To explore the role of mind mapping in the prevention and treatment of lower extremity deep venous thrombosis after gynecologic malignant tumor surgery.Methods From January 2016 to July 2017，100 patients with gynecologic malignancies in the Affiliated Hospital of Jiangnan University were selected as the study subjects.The randomized digital table method was divided into intervention group and control group，50 cases in each group.The control group received routine nursing.The intervention group was treated according to the nursing mind map.The incidence of LEDVT in both groups was observed and recorded.Results The incidence of DVT in the intervention group(0)was lower than that in the control group(8.00%)，the difference was statistically significant(P<0.05)，and the satisfaction rate of the intervention group(90.00%)was higher than that in the conventional group(70.00%)， the difference was statistically significant(P<0.05).The postoperative hospital stay was shorter in the intervention group than in the conventional group，the difference was statistically significant(P<0.05).Conclusion The use of mind mapping for nursing intervention in patients with gynecologic malignant tumors can effectively reduce the incidence of DVT and reduce the incidence of DVT.
, 百拇医药
Key words：Mind mapping；Deep vein thrombosis of lower extremities；Surgery for gynecologic malignancies
静脉血栓栓塞(venous thromboembolism，VTE)包括深静脉血栓(deep vein thrombosis，DVT) 及肺栓塞(pulmonary embolism，PE) 。DVT形成常发生于下肢深静脉血栓(LEDVT)，是妇科恶性肿瘤治疗过程中常见的并发症之一，严重影响患者的预后。DVT 血栓脱落引起肺栓塞后危及患者的生命。恶性肿瘤是静脉血栓形成的独立危险因素[1]，栓子脱落时可引起肺栓塞(pulmonary embolism，PE)，而DVT并发PE后，死亡率可达20%～30%，是仅次于肿瘤引起患者死亡的第2位原因[2]。思维导图又称为心智图，是一种将发散性思考具体化的思维工具，它运用线条、符号、词汇和图像，形成发散式和节点式的结构形式，把繁琐的文字信息变成层次分明的图，让学习者更有效地储存和提取信息，提高工作和学习效率[3]。为了减少妇科恶性肿瘤术后LEDVT的发生，我科将思维导图运用于妇科恶性肿瘤术后LEDVT防治的护理中，现分析如下。
, 百拇医药
1资料与方法
1.1一般资料 选取2016年1月～2017年7月就诊于无锡市第四人民医院妇科住院的恶性肿瘤患者100例为研究对象，经本院伦理委员会审批通过。纳入标准：①确诊为妇科恶性肿瘤；②准备行手术治疗的患者；③本次研究经过患者及家属知情同意；排除标准：①排除术前已经存在LEDVT的患者；②伴随其他严重并发症。采用随机数字分类法将患者分为干预组和对照组，每组50例。对照组年龄27～73岁，平均年龄(53.78±9.95)岁；手术方式：47例经腹手术，2例腹腔镜手术，1例外阴手术；麻醉方式：49例全身麻醉，1例联合麻醉。干预组年龄34～84 岁，平均年龄(53.64±10.84)岁；手术方式：42例经腹手术，7例腹腔镜手术，1例外阴手术；麻醉方式：49例全身麻醉，1例联合麻醉。两组患者一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(陆筠 张吴花 胡雯晴)